Date: Wed, 26 Feb 2020 18:37:36 +0100 (MET)

Karachi, Feb 26, 2020 (AFP) - Pakistan has detected its first two cases of novel coronavirus, a public health advisor to Prime Minister Imran Khan tweeted Wednesday, days after Islamabad closed its land border with Iran, where 19 people have died from the virus.   "I can confirm first two cases of corona virus in Pakistan. Both cases are being taken care of according to clinical standard protocols & both of them are stable. No need to panic, things are under control", tweeted health advisor Zafar Mirza.

A statement issued by the southern Sindh province's health department stated that the first positive case was reported in Karachi in a 22-year-old male with a "history of travel to Iran where he has acquired the virus."   Officials did not confirm where the second case was reported.   Mirza said he would hold a press conference on Thursday on Pakistan's new cases.

With porous borders, creaking hospitals and large illiterate populations, Pakistan faces a potentially devastating health crisis from the new coronavirus.   The virus has spread to more than 30 countries, killing over 2,700 and infecting 80,000, mostly in China. But new outbreaks in Europe, the Middle East and in Asia have fanned fears of the contagion taking hold in poor nations which lack the healthcare infrastructure to cope.   Islamabad has a history of failing to contain infectious diseases such as polio, tuberculosis and hepatitis.
Date: Mon, 24 Feb 2020 12:00:17 +0100 (MET)

Quetta, Pakistan, Feb 24, 2020 (AFP) - Pakistan began quarantining at least 200 people near the Iranian border, officials said Monday, as fears spiralled over the growing toll from the coronavirus in the region amid allegations of a coverup in Iran.

The quarantine announcement came hours after Pakistan sealed off its land border with Iran while neighbouring Afghanistan said it had detected its first infection.    It also came as Iranian authorities denied allegations of an official coverup following reports that dozens of deaths had gone unreported in the country.

In Pakistan's southwestern Balochistan province authorities moved fast to quarantine at least 200 people after Shiite Muslim piligrims returning from Iran entered the country and briefly interacted with other residents.   "We have decided not to take a chance and keep all of them under observation for the next 15 days," Najeebullah Qambrani, assistant commissioner at the Taftan border crossing, told AFP, saying 250 people were being quarantined.

Balochistan's secretary of health Mudassir Malik confirmed the quarantine but estimated that between 200 and 250 were being held.   He added that around 7,000 pilgrims had returned to Pakistan from Iran this month alone.   Afghanistan and Pakistan share long, porous borders with Iran that are often used by smugglers and human traffickers, while millions of Afghan refugees currently live in the Islamic Republic -- raising fears that the virus could easily spread over the border.

Pakistan -- bordered by China to the north and Iran to the south -- also suffers the additional burden of having a lacklustre healthcare system following decades of under-investment by the state, leaving impoverished, rural communities especially vulnerable.

Balochistan in particular is woefully unprepared to handle a public health emergency after being beset for decades by a separatist insurgency, jihadist violence, and neglect from the central government.   The novel coronavirus has spread to more than 25 countries, with more than 2,500 dead in China, and is causing mounting alarm due to new pockets of outbreaks in Europe, the Middle East and Asia.
Date: Tue, 18 Feb 2020 08:50:55 +0100 (MET)

Peshawar, Pakistan, Feb 18, 2020 (AFP) - A policeman was killed and two others wounded Tuesday by a roadside bomb aimed at polio vaccination workers in Pakistan's restive northwest, officials said.    The attack came a day after Islamabad launched a nationwide anti-polio drive, aiming to immunise tens of millions of children in Pakistan -- one of only three countries, along with Afghanistan and Nigeria, where the crippling disease remains endemic.

Opposition to inoculations grew after the CIA organised a fake vaccination drive to help track down Al-Qaeda's former leader Osama Bin Laden in the Pakistani city of Abbottabad.   According to Captain Wahid Mehmood, a district police chief, a police van monitoring the polio team was hit on the outskirts of the north-western city of Dera Ismail Khan.   "It was an IED (improvised explosive device) explosion in which one of our policemen got martyred while two others were wounded", Mehmood told AFP.   Sadaqat Khan, a local police official, confirmed the toll.   There was no immediate claim of responsibility, but the Pakistani Taliban and other militants have targeted polio vaccinators in the past.

The nationwide polio vaccination campaign aims to vaccinate some 39 million children.  Tuesday's attack follows a devastating year in Pakistan's long fight against polio, with at least 17 cases reported in 2020 so far.   In 2019, the number of polio cases jumped to 144 from just 12 in 2018.

Even as Pakistan has tried to eliminate polio, a new challenge has emerged in the form of a growing global movement against vaccinations.   The phenomenon has attracted adherents worldwide, fuelled by medically baseless claims and proliferated on social media resulting in a resurgence of once-eradicated, highly contagious diseases.
Date: Wed 5 Feb 2020
Source: Urdu Point [edited]
<https://www.urdupoint.com/en/pakistan/sindh-reports-third-polio-case-of-the-current-830710.html>

The Emergency Operation Centre (EOC) for polio in Sindh here on Wednesday [5 Feb 2020] confirmed one new polio case for the year 2020 from UC Jamal in Kashmore District.

This takes the total tally of Sindh to 3 and Pakistan to 8 for the year 2020, said the EOC spokesperson, mentioning that a 40 month old girl has been affected by polio with weakness in both lower limbs with date of onset being [16 Jan 2020]. According to her parents, the child had received 7 doses of oral polio vaccination (OPV); however, an investigation is ongoing into this claim.

The spokesperson said the National EOC and Sindh EOC have started to fight back to get polio eradication on track and reverse this trend. The 1st step was claimed to be the successful [December 2019] NID [National Immunization Day], followed by a case response in January [2020], while another campaign is scheduled to be conducted during the current month [February 2020].

Efforts and delivery of quality campaigns over the next few months, the spokesperson said, will bridge the immunity gap and lead to a significant decrease in the intensity of virus transmission in the 2nd half of 2020. "The current risk to our children is very real, and while it is our job to deliver these vaccines at the doorstep, caregivers must also step up and protect their children through vaccinations," said the official. The National EOC and Sindh EOC urge parents to ensure immunization of their children both in routine as well as the special campaigns planned by the programme during next few months.  [byline: Muhammad Irfan]
===================
[According to the End Polio Pakistan website, this is the 8th case of polio confirmed with a date of onset in 2020. There have been 3 cases reported from Sindh province, 4 from Khyber Pakhtunkhwa and 1 from Balochistan with dates of onset in 2020 (see  <https://www.endpolio.com.pk/polioin-pakistan/polio-cases-in-provinces>).

The districts reporting cases with onset during 2020 are as follows:

Sindh:
- Sujawal (1 case)
- Tando Allahyar (1 case)
- Kashmore (1 case)

Khyber Pakhtunkwa:
- Lakki Marwat (3 cases)
- Tank (1 case)

Balochistan:
- Nasirabad (1 case)

A good map of Pakistan showing districts and provinces can be found at
<https://reliefweb.int/sites/reliefweb.int/files/resources/pak215_pakistan_districts_v5_a0_20181203.pdf>. - ProMED Mod.MPP]

[HealthMap/ProMED-mail map of Sindh, Pakistan:
<http://healthmap.org/promed/p/707>.]
Date: 26 Jan 2020
Source: MENAFN [edited]
<https://menafn.com/1099604526/Pakistan-Two-more-polio-cases-reported-in-Landikotal>

Two more polio cases have surfaced from Landikotal tehsil in Khyber tribal district, after which the number of reported cases in Khyber Pakhtunkhwa has reached 4 this year [2020].

According to the Emergency Operations Centre (EOC), a 2-year-old [male child] from Nekikhel and another child from Torwela have been diagnosed with polio. The samples of these 2 children were sent for laboratory tests in 2019, so these cases will be counted in the tally of 2019, which stands at 141 now.

The 2 cases in Landiktoal were reported 2 days after the emergence of 3 new polio cases in Qambar, Dadu and Sajawal districts of Sindh. Among them, 2 children contracted the crippling disease in 2019, but the cases were confirmed on Friday [24 Jan 2020].

On [21 Jan 2020], the 1st case of polio in Pakistan in 2020 surfaced in Lakki Marwat, the district with the highest number of cases in 2019.

The year 2019 was worse for Pakistan in polio eradication efforts, as 141 cases surfaced in Pakistan, including 96 cases in KP. Most cases in KP surfaced in Lakki Marwat, where 32 children were diagnosed with the crippling disease. In 2018, only 12 cases were reported, while in 2017, 8 cases were reported.

Currently, Pakistan and Afghanistan are the only 2 countries in the world which have not fully eradicated polio. The main cause behind the emergence of so many polio cases is refusal of parents to cooperate with the vaccination teams. According to media reports citing Health Ministry data, over a million parents refused to cooperate with vaccination teams in 2019. Most of the refusal cases were reported in April last year [2019] when rumours spread in Peshawar that many children had fainted after consuming vaccination drops. A total of 1 089 087 parents refused to give vaccination drops to their children in 2019.

The emergence of so many polio cases in Pakistan, particularly in KP, has brought the federal and provincial governments under pressure over their performance and strategy to control the spread of disease.

Experts believe that polio vaccination efforts cannot succeed completely until the refusing parents are convinced to cooperate with vaccination teams.
==================
[The End Polio Pakistan website has not added all of the media reported cases as yet, so it's a bit difficult to follow at times and know which cases were 2019 onset and which were 2020 onset. The above media report clearly states 2019 onset and puts the tally for 2019 as 141 cases, but the media reports from Friday's [24 Jan 2020] report is less clear (see Poliomyelitis update (10): global, Pakistan (BA, SD) http://promedmail.org/post/20200124.6911971).

A good map of Pakistan showing districts and provinces can be found at:
<https://reliefweb.int/sites/reliefweb.int/files/resources/pak215_pakistan_districts_v5_a0_20181203.pdf>. - ProMED Mod.MPP]
More ...